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Flashcards in ckd1 Deck (31):
1

what are the normal albumin to creatinine ratios?

less than 30 mg/g

2

what are the microalbuminaria albumin to creatinine ratios

30-300 mg/g

3

what are the albuminaria albumin to creatinine ratios

greater than 300 mg/g

4

a spot urine protein to creatinine ration greater than what indicates proteinuria

greater than 200 mg/g

5

what are the GFR levels fro stage 1 CKD

greater than 90 with evidence of kidney damage

6

what are the GFR levels fro stage 2 CKD

60-89 with evidence of kidney damage

7

what are the GFR levels fro stage 3 CKD

30-59

8

what are the GFR levels fro stage 4 CKD

15-29

9

what are the GFR levels fro stage 5 CKD

less than 15 or dialysis

10

why should Scr alone not assess kidney function

SCr has high variability

11

what equation should be used to stage kidney function in children

Schwartz equation

12

what equation should be used to stage kidney function in adults

MDRD equation

13

what does RRT refer to

dialysis

14

what are two most common initiation factors for CKD

diabetes (most common)
HTN

15

what possibly mediates glomerular capillary HTN?
how?

angiotensin II
vasoconstriction of efferent arterioles

16

wheret does vasoconstriction of efferent arterioles increase pressure?

in glomerular capillaries (glomerular capillary HTN)

17

what are some symptoms of CKD

1. Cold intolerance
2. Cramps and muscle pain
3. SOB
4. Puritus
5. Edema

18

what are some signs of CKD?

1. Acidosis
2. Worsening HTN
3. Anemia
4. Secondary hyperparathyroidism
5. Hyperkalemia

19

what is the goal level to decrease albuminuria to delay CKD progression

decrease albuminuria by 30%-50%

20

what are best agents for reducing albuminuria

ACEI and ARBs

21

why should ACEI's and ARB's not be recommended together

increased risk of hyperkalemia and renal dysfunction

22

what is the 2nd line tx for decreasing albuminaria in CKD?
what are these first line for

nondihydropyridine CCBs (diltiazem and verapamil)
CKD in pregnancy

23

at what level should a protein restriction of .8g/kg/day be recommended?

GFR less than 30

24

what is BP goal if pt. has CKD, DM and no microalbuminuria

140/80

25

what is BP goal if pt. has CKD and no microalbuminuria (no DM)

140/90

26

what is BP goal if pt. has CKD, DM and microalbuminuria

130/80 (same as w/out DM)

27

what is BP goal if pt. has CKD and microalbuminuria (no DM)

130/80 (same as w/ DM)

28

what is considered a primary goal and a secondary goal:
control BP and control mircoalbuminaria

primary = control BP
secondary = control microalbuminaria

29

What is 2nd line for BP control in CKD

Add diuretic (to 1st line ACE/ARB)

30

what type of diuretic is best for BP control if GFR is less than 30?

loop diuretics

31

what is the hemoglobin A1C target for glycemic control in CKD?

7%